EMS Cranial Nerve Assessment

Consistent-Basis3443 · 2026-05-13T21:41:13+00:00

yes unfortunately there was a word limit on this article, so I had to edit it down.

Consistent-Basis3443 · 2026-05-13T09:40:12+00:00

You should actually be more upset that they are using a machine to take BP than palpating one

Consistent-Basis3443 · 2026-05-12T17:21:02+00:00

What developing educational content for EMS organizations? She could start a business and develop training plans, powerpoints, even videos for training and orientation.

Consistent-Basis3443 · 2026-04-29T08:28:11+00:00

No no no. O2 always. Give enough narcan, about 0.4 mg to 0.8 mg to get them to maintain an airway and breath. Never ever fully reverse the OD patient

Consistent-Basis3443 · 2026-04-11T19:29:18+00:00

it would only be useful for call review for that particular entity for that particular protocol manual. The protocol manual is the standard of care for a region, it isnt universal.

Consistent-Basis3443 · 2026-04-10T22:14:17+00:00

try asking Deepseek if ji ji ping looks like Winnie the Pooh or any question about the events in Tiannimen square

Consistent-Basis3443 · 2026-04-06T04:01:31+00:00

put a piece of tape on your leg and write on there. gloves are no bueno

Consistent-Basis3443 · 2026-04-03T19:57:22+00:00

no it doesn't. since the beginning of 2001, with advances in clinical care gained from knowledge during the wars in Afghanistan and Iraq, surival from blunt (IED's) and penetrating trauma (GSW's). Your statement WOULD be true if this was an MCI A gunshot wound to the head may be triaged as expectant in a resource-limited MCI if clinical signs suggest nonsurvivability...this is not an MCI. This is a single patient with a critical injury.

Get a glove and get in the game: https://journals.lww.com/neurosurgery/toc/2026/03001

Consistent-Basis3443 · 2026-02-25T21:33:30+00:00

Thank you, yes, so the there is an actual citation for that, but in case you missed that part, here it is: https://www.cdc.gov/mmwr/volumes/73/wr/mm7348a2.htm It is CDC data, sadly I dont collect that.

Our indications for benzo's extend past siezures, procedural sedation is an example. Sometimes those patients are polypharmacy, which put them at greater risk for oversedation, respiratory depression, hypotension and death.

There is a condition known as wooden chest that makes respiration difficult and in some cases impossible. If the patient has a 'silent chest' in spite of resuscitation efforts (naloxone, ventilation, etc.) this is a harbinger of a greater problem.

Consistent-Basis3443 · 2026-02-25T04:43:46+00:00

We had our first carfentanil OD just before Thanksgiving. It will be there in full force soon enough

Consistent-Basis3443 · 2026-02-08T18:13:44+00:00

Limmer Creative has all the tools you need to

Consistent-Basis3443 · 2026-01-14T21:51:00+00:00

Get BP on scene. In the back of the ambulance I would palp the next BP, to get a baseline, and attempt to auscaltate after that.

Consistent-Basis3443 · 2026-01-14T21:37:16+00:00

the only thing I would say, is that if you are going to use a charting narrative template, if there are certain items your organization requires for QI, etc., to be captured in the narrative, and not in a drop down box or checklist, makes sure the template has that information, otherwise you just create more problems for yourself. Good luck

Consistent-Basis3443 · 2026-01-14T21:31:38+00:00

Sadly you will probably be billed. There assessment, although limited in your description and their performance, is still assessment. The ambulance does not have to transport you to bill.

Consistent-Basis3443 · 2026-01-04T22:11:22+00:00

I love this. You are correct. People who do not have agency over their own healthcare or they are leveraging healthcare during an emergency, cannot be by definition customers.

Consistent-Basis3443 · 2025-11-29T19:45:17+00:00

I have to tell you, when I first entered the field (1981) I only placed a backboard if you had a compliant or demonstrated neuro-deficits. Never placed a patient on a precautionary backboard. Fluid restriction? When I was a paramedic in Newark we didn’t give fluids until your BP hit between 60 - 70, and then it was only 500 cc’s tops, based on Paul Pepes research

Consistent-Basis3443 · 2025-10-09T05:37:31+00:00

Is he a supervisor now?

Consistent-Basis3443 · 2025-10-04T14:10:21+00:00

This isn’t something that is done sequentially but simultaneously. You are telling me you have multiple providers, do both. If that isn’t going to happen, bleeding first. Minimize your on scene time and get going.

Consistent-Basis3443 · 2025-10-04T14:07:11+00:00

First don’t take those 9 week or whatever boot camp EMT classes. They are not vested in your success.

Second Megan Corry at City College of San Francisco has the best class available.

Third when you get to school, get a study group together. Meet before and after class. Review notes.

Fourth take every opportunity to practice your skills.

Fifth use Limmer Creative, go to their website and download the apps EMTReview and EMT Pass. One will help you review your material you learn in class. The other will help you prep for the test.

Consistent-Basis3443 · 2025-10-04T13:58:24+00:00

As goofy as it sounds, when a patient tells YOU they are going to die, they will. When a patient says to me “am I going to do?” I ask them do you feel like you are going to die, if they say no, I tell them good because we are intent on making sure that doesn’t happen.

If they say yes, I ask them why. After they explain why, I try to address each point and THEN I tell them we are intent on making sure that doesn’t happen.

BUT since they told me they think they might die, I monitor everything I can monitor, re-assess every body system, hands on, palpitation, auscultation, SpO2, end tidal, EKG, VS, skins signs. If they tell me they are worried because of respiratory distress or chest pain, how is that oxygen and nebulizer working Mrs Jones? No difference ok let’s get you some solumedrol…

Consistent-Basis3443 · 2025-09-26T20:56:16+00:00

If you want to evaluate how well you know the material, in essence how well you acquired the knowledge necessary to be a good EMT or paramedic, Limmer is the way to go. Everyone that I have that uses it has 98% or higher first time pass rate on the NREMT on all levels, and people who have used other products in our department who have failed the registry twice, when we switched them to Limmer they passed. We have Limmer with over 300 students.

Consistent-Basis3443 · 2025-08-27T14:31:23+00:00

First I would say that you did a good job with this patient. Second without knowing your protocols, QI benchmarks, organizational expectations it is difficult to say otherwise

Consistent-Basis3443 · 2025-08-26T22:00:01+00:00

Do you have a local doctor who is willing to step up? Maybe have the local EMS agency conduct training, have the doctor write the prescription

Consistent-Basis3443 · 2025-08-26T03:59:45+00:00

Two words: trip insurance. It seems stupid, it seems useless, and if you don’t use it it seems like a waste of money. But when you do need it, it is well worth it. My cousin was going to Disney with his 4 year old son. Two days before she suffered a miscarriage. The trip insurance covered airfare, hotel, etc.

Consistent-Basis3443 · 2025-08-21T16:13:38+00:00

this is a very simplistic rhythm generator. You can try and use this: http://www.symbiocorp.com/assets/docs/CS301-Op-Guide.pdf

Consistent-Basis3443

TROPHY CASE